| NPI | 1992264949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA12160500) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-07-17 |